| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,768.80 | $26,768.80 | $26,768.80 | |
Cigna
| Facility | $40,581.43 | $46,668.64 | $75,708.45 | |
Medica
| Facility | $14,711.94 | $15,847.10 | $36,750.28 | |
United
| Facility | $14,711.94 | $15,847.10 | $37,484.82 |